Provider Demographics
NPI:1306824339
Name:GREIGER-ZANLUNGO, PAOLA (MD)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:GREIGER-ZANLUNGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 SOMERSET ROAD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2139
Mailing Address - Country:US
Mailing Address - Phone:914-361-6451
Mailing Address - Fax:914-664-2416
Practice Address - Street 1:12 N 7TH AVENUE
Practice Address - Street 2:ROOM 501
Practice Address - City:MT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2026
Practice Address - Country:US
Practice Address - Phone:914-361-6451
Practice Address - Fax:914-664-2416
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00919815Medicaid
B80538Medicare UPIN
NY56D051Medicare ID - Type Unspecified
NYB80538Medicare UPIN